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DR. CLEO BIANCA VIDICAN DDS NPI 1184065294


NPI Information

NPI: 1184065294
Provider Name: DR. CLEO BIANCA VIDICAN, DDS
Classification: Dentist - 1223X0008X
Entity Type: Individual

Specialization: Oral and Maxillofacial Radiology

PECOS Registration: Yes

Address:
1600 SW ARCHER RD
GAINESVILLE, FL
ZIP 32610
Phone: (352) 273-6695
Get Directions

DR. Cleo Bianca Vidican, DDS is an oral and maxillofacial radiology dentist in Gainesville, FL. The provider is the specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region. DR. Cleo Bianca Vidican, DDS NPI is 1184065294. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1600 SW ARCHER RD
GAINESVILLE, FL
ZIP 32610-564
Phone: (352) 273-6695
Fax: (352) 294-5310

The NPI 1184065294 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/17/2013 and was last updated on 2/29/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223X0008XDentistOral and Maxillofacial Radiology25780MONTANANo
21223X0008XDentistOral and Maxillofacial RadiologyDN23503FLORIDAYes
31223X0008XDentistOral and Maxillofacial RadiologyD13261MINNESOTANo
41223X0008XDentistOral and Maxillofacial Radiology11848TENNESSEENo
51223X0008XDentistOral and Maxillofacial Radiology2901600790MICHIGANNo
6122300000XDentist25780MONTANANo
7122300000XDentist11848TENNESSEENo
8122300000XDentistD13261MINNESOTANo
9122300000XDentist2901600790MICHIGANNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.